Olaniyi J A
Department of Haematolgy. University College Hospital, PMB 5116, Ibadan, Nigeria.
Clin Med Case Rep. 2008 Jul 8;1:97-100. doi: 10.4137/ccrep.s812. eCollection 2008.
Summary This case report illustrates the multiple complications experienced by a sickle cell anaemia patient. Although he enjoyed fairly good health till age 16 years; he subsequently suffered grade four bilateral femoral head necrosis, cerebella infarct and cerebral atrophy from cumulative effect of repetitive vasoocclussion, recurrent overwhelming septicaemia, fixed flexion deformities and decubitous ulcer as a sequelae of earlier complications. He eventually became bed ridden. Financial constraint seriously compounded these problems. The determinants, of which type of the wide-ranging complications of SCD a particular patient will eventually develop, remain elusive.
摘要 本病例报告阐述了一名镰状细胞贫血患者所经历的多种并发症。尽管他在16岁之前身体状况相当良好，但随后由于反复血管闭塞、复发性严重败血症、固定性屈曲畸形以及早期并发症导致的褥疮溃疡的累积效应，他患上了四级双侧股骨头坏死、小脑梗死和脑萎缩。他最终卧床不起。经济拮据使这些问题更加严重。对于特定患者最终会出现镰状细胞病广泛并发症中的哪一种类型，其决定因素仍不清楚。
